How much rates vary
Facilitymedian $117 · 10th to 90th $117 to $4,266Professionalmedian $120 · 10th to 90th $98 to $182
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $128.82 | Facility | None | $117.49 | $117.49 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $117.49 Typical High $138.04 | Professional | None (both parts) | $112.20 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $75.86 | Professional | 26 · Professional part | $63.10 | $67.61 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $63.10 | Professional | TC · Technical part | $50.12 | $50.12 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $128.82 Typical High $208.93 | Professional | None (both parts) | $95.50 | $128.82 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $74.13 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $54.95 Typical High $112.20 | Professional | TC · Technical part | $41.69 | $54.95 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $186.21 | Professional | None (both parts) | $97.72 | $120.23 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $66.07 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $83.18 | Professional | TC · Technical part | $43.65 | $51.29 | $83.18 |
Hometown Health Setting Professional Modifier None Typical Low $0.85 Median $117.49 Typical High $177.83 | Professional | None | $0.85 | $117.49 | $177.83 |
Hometown Health Setting Professional Modifier 26 · Professional part Typical Low $0.45 Median $67.61 Typical High $100.00 | Professional | 26 · Professional part | $0.45 | $67.61 | $100.00 |
Hometown Health Setting Professional Modifier TC · Technical part Typical Low $0.40 Median $52.48 Typical High $75.86 | Professional | TC · Technical part | $0.40 | $52.48 | $75.86 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $0.85 Median $0.85 Typical High $177.83 | Professional | None (both parts) | $0.85 | $0.85 | $177.83 |
Select Health Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $4,265.80 | Facility | None | $117.49 | $117.49 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $91.20 Typical High $117.49 | Professional | None (both parts) | $69.18 | $91.20 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $177.83 | Professional | None (both parts) | $100.00 | $120.23 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $114.82 | Professional | 26 · Professional part | $61.66 | $72.44 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $57.54 Typical High $89.13 | Professional | TC · Technical part | $47.86 | $57.54 | $89.13 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $58.88 Typical High $64.57 | Professional | 52 · Reduced service | $56.23 | $58.88 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.44 Typical High $25.70 | Professional | 53 · Discontinued | $22.39 | $23.44 | $25.70 |
Where Nevada sits
The same service costs 3.8 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Nevada· 39th of 51
$120
AK $275UT $72.44
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.